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General NPI Number Information
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NPI Number | 1689625378
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Entity Type | Individual
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Provider Name | KAREN MIHO SUGIURA AU.D.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 1550 E MAIN ST AUDIOLOGY
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City | SANTA MARIA
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State | CA
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Zip | 93454-4819
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Country | US
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Telephone | 805-354-6000
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Fax | 805-922-5473
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Provider Business Mailing Address
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Address Line | 1550 E MAIN ST AUDIOLOGY
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City | SANTA MARIA
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State | CA
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Zip | 93454-4819
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Country | US
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Telephone | 805-354-6000
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Fax | 805-922-5473
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU2050
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License Number State | CA
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